MORES Mobile Outreach Response Engagement Stabilization Service MORES

MORES Mobile Outreach Response Engagement Stabilization Service

MORES � Mobile intervention for children, adolescents, & their families � Ages 3 -21 � Experiencing escalating emotional or behavioral symptoms or traumatic circumstances which have compromised the youth’s ability to function at their baseline within their family, living situation, school and/or community environments 12/1/2020 2

Interventions/Strategies � crisis intervention and de-escalation � counseling � behavioral assistance � skill building � medication management, and/or � caregiver and youth engagement/support/stabilization services. 12/1/2020 3

Service � Prevent placement into more restrictive settings, unnecessary court involvement, and declines in functioning. � Respond within 30 minutes face-to-face unless deferred response is requested by the parent/caregiver. � Immediate face-to-face response is designed to better address the needs children and families in their homes, schools, and communities. � MORES staff includes clinicians, Family and Youth Support Partners, and access to child/adolescent psychiatry. 12/1/2020 4

Goals for Youth & Family ◦ Stabilize the presented issue. ◦ Assess and eliminate barriers to accessing behavioral health and other services and supports through active family engagement strategies including use of Family and Youth Support Partners. ◦ Linkage to appropriate services and supports ◦ Promote/enhance emotional and behavioral functioning. ◦ Empower and educate children and families to monitor, manage, and cope with similar situations. ◦ Strengthen the family and youth’s natural support system. � 12/1/2020 5

Goals for Provider � Provide solution-focused behavioral health services that are highly mobile and responsive to child and family needs � Provide appropriate screening, early identification, and assessment of suicide risk, trauma exposure, substance use, exposure to and risk of violence, eating disorders, and other clinical presentations. � Include family members and informal supports in all aspects of the planning and treatment process to the fullest extent possible. � Increase community awareness of behavioral health needs by providing education and outreach to children, families, schools, and communities. 12/1/2020 6

Goals for Child Serving System ◦ Ensure that all children and their families have access to crisis, prevention, and intervention services and supports. ◦ Exhaust all possible options to maintain youth in their homes and communities and prevent placement in more restrictive care settings 12/1/2020 7

Practice Model � The MORES episode of care can be divided into two phases: � 1) response and assessment � 2) ongoing outreach, stabilization, engagement, and transition to appropriate services and supports. � Each phase is comprised of a number of clinical and supportive activities. � Not a “typical” MORES episode of care. � Episodes can be as brief as responding to the initial call or can last for up to 8 weeks. 12/1/2020 8

Phase Two � Actively engage family and youth in planning, assessment, and problem-solving � Review Results of assessment � Develop Stabilization Plan � Address factors Contributing to or Maintaining the Crisis � Address Trauma Exposure & Symptoms of Traumatic Stress 12/1/2020 9

Phase Two, cont’d � Provide Ongoing Acuity/Risk Assessment � Refer for Psychiatric Evaluation � Provide Case Management � Enhance Motivation to Participate in Ongoing Care � Communicate with the Original Referrer � Facilitate Transition to Ongoing Services & Supports 12/1/2020 10

Summary of Tasks for Stabilization & Transition Phase � Provide follow-up services in the home or other community locations � Regular re-assessment of needs and modifying interventions accordingly � Interpreting assessment and incorporating findings into stabilization plan � Accurately identifying and intervening with factors that contribute to and/or maintain behavioral crises � Identifying unmet needs and strengths � Utilize trauma-informed approach � Coordinating care with psychiatrists � Utilize Motivational Interviewing strategies and a Strengths Based Case Management approach. 12/1/2020 11

Questions? Questions 12/1/2020 12

Contact Information � Allison Gosda, MHSU Clinical Director ◦ (828) 325 -4687 ◦ agosda@partnersbhm. org 12/1/2020 13